| NPI | 1639521123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA G DEFAY Owner 269-759-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: MI 4704191219) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-01-20 |